Eating disorder symptoms and quality of life: Where should clinicians place their focus in severe and enduring anorexia nervosa?

作者: Bryony Bamford , Christina Barras , Richard Sly , Colleen Stiles-Shields , Stephen Touyz

DOI: 10.1002/EAT.22327

关键词: Weight gainPsychologyClinical psychologyAnorexia nervosaPsychiatryTreatment outcomeQuality of lifeRandomized controlled trialContext (language use)Eating disorder examinationAffect (psychology)Psychiatry and Mental health

摘要: Objective The aim of this study was to examine the relationship between quality life (QoL), weight, and eating disorder symptoms across treatment in individuals with severe enduring anorexia nervosa (SE-AN). Method Participants were 63 adult females SE-AN presenting an outpatient, multisite randomized clinical trial. QoL assessed using three well-validated questionnaire measures, EDQOL, SF-12, WSAS. Participants' weight severity by Eating Disorder Examination (EDE) weekly BMI change. Results Predictors evaluated context concurrent, prospective,1 lagged mixed-effects models. Changes both EDE found significantly affect current future ratings. Discussion Findings suggest that improvements may be dependent on symptom change gain. Treatments seeking solely improve unlikely produce lasting clinicians should maintain a focus behavioral as much QoL. © 2014 Wiley Periodicals, Inc. (Int J Eat Disord 2015; 48:133–138)

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